| NPI | 1326357708 |
|---|---|
| Former Name | JODI NICOLE PAULSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F-112029) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA 112029) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2023-02-01 |